ALAN THOMAS CREECH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

INACTIVE

Business

First Name

ALAN

Middle

THOMAS

Last Name

CREECH

Business Name

ALAN THOMAS CREECH

Original Issue Date

01/20/2005

Effective Date

04/22/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61820

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2018